Director of PBM Contracting

Gifthealth

Director of PBM Contracting overseeing contract lifecycle and compliance for Gifthealth's PBM partnerships. Building relationships and managing a team for optimized reimbursement.

Posted 6/19/2026full-timeRemote • Ohio • 🇺🇸 United StatesLead💰 $150,000 - $200,000 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

PBM contractingpharmacy reimbursementpharmacy network managementMAC pricingaudit provisions

Soft Skills

negotiationcommunicationrelationship management

Industry Keywords

PBMpayer relationshealthcare administrationprovider manualscontract economics

About the role

Key responsibilities & impact

Lead all PBM contract negotiations for Gifthealth
Serve as the primary point of contact with PBM partners
Ensure continuous compliance with PBM network agreements and provider manuals

Requirements

What you’ll need

8+ years of experience in PBM contracting, payer relations, pharmacy reimbursement, or pharmacy network management
Bachelor's degree or equivalent experience required; degree in healthcare administration, pharmacy, business, or a related field preferred
Knowledge of PBM contract economics including MAC pricing and audit provisions

Benefits

Comp & perks

Continuous education opportunities
Participation in industry conferences
Collaboration with cross-functional teams